Cassandra Miriam Malack, MSW
Social Worker, Clinical in Philadelphia, PA. Individual provider (NPI-1).
NPI number1154002012
StatusActive
Last updated in NPPESJul 25, 2023
Details
- NPI
- 1154002012
- Entity type
- Individual (NPI-1)
- Name
- Cassandra Miriam Malack
- Credential
- MSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 25, 2023
- Certification date
- Jul 25, 2023
- Last updated
- Jul 25, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
1315 Windrim AvePhiladelphia, PA 19141-2710
Phone 215-456-2737
Mailing address
115 Gladstone RdLansdowne, PA 19050-2110
Phone 484-334-5270
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